Individual
KENNY CASTILLO CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 TWISTED OAK AVE, NORTH LAS VEGAS, NV 89032-0608
(786) 355-3712
Mailing address
2201 TWISTED OAK AVE, NORTH LAS VEGAS, NV 89032-0608
(786) 355-3712
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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